Crescent City Coin Club

 P.O. Box 8493
 Metairie, LA 70011-8493
 

Application for Membership

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Print Your Name

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Mailing Address

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City, State  Zip

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(Area Code) Phone Number                                             E-mail Address

I hereby apply for membership in the Crescent City Coin Club subject to the
 

Association’s Constitution and By-Laws and tender $ ________ dues.

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Collecting Interests 

 I hereby apply for membership in the Crescent City Coin Club subject to the

by-laws  and payment of dues.

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Signature Of Applicant                                                                          Date

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Signature of Parent or Guardian for Junior Membership                  Date

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Recommended by                                                                                   Date

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For official use only:

First Reading        ________________________

Second Reading   ________________________

Third Reading      ________________________

Approved: _______________________________________________________

                    President                                                                                Date

Dues Received: $________________________   Date: ____________________